免疫性血小板缺陷症患者的血栓形成:发生率,风险和临床结果
Isaac Goncalves1, Cameron Lewis1, Brian Grainger1
1Department of Clinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Research and practice in thrombosis and haemostasis
|March 6, 2024
概括
患有免疫性血栓缩症 (ITP) 的患者患血栓症的风险增加. 患有二次性ITP的老年人,特别是那些服用血栓形成素受体激动剂的人,面临着最高的风险.
科学领域:
- 血液学 血液学 血液学
- 血栓形成研究研究
- 免疫性血小板缺血症.
背景情况:
- 免疫性血栓缺血 (ITP) 与血栓形成的风险更高有关.
- 在ITP患者中导致血栓形成的因素需要进一步澄清.
研究的目的:
- 为了确定在ITP患者中动脉和静脉血栓栓塞 (ATE和VTE) 的发生率.
- 确定ITP中血栓形成的临床和与治疗相关的风险因素.
- 描述发生血栓形成的ITP患者的临床特征和治疗方法.
主要方法:
- 从2011年到2022年,成年ITP患者的回顾性队列研究.
- 计算每100人/年发生血栓的发病率.
- 多变量考克斯回归分析,以评估风险因素的关联.
主要成果:
- 在220名ITP患者中,有26名患者 (11.8%) 经历了37次血栓形成事件 (78%VTE,22%ATE).
- 血栓形成的整体发病率为每100人/年2.71.
- 血栓形成的独立风险因素包括年龄较大,二次ITP,多种疗法,先前存在的血栓形成风险因素和使用血栓蛋白质受体激动剂.
结论:
- 虽然ITP患者的血栓形成不常见,但在临床上具有意义.
- 患有多次治疗二次性ITP的老年患者使用血栓形成素受体激活剂的风险最高.
- 在这个队列中,抗血栓治疗通常被很好地容忍.
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